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一种确定在异质流行病学系统中监测工作目标地点的方法。

A method of determining where to target surveillance efforts in heterogeneous epidemiological systems.

作者信息

Mastin Alexander J, van den Bosch Frank, Gottwald Timothy R, Alonso Chavez Vasthi, Parnell Stephen R

机构信息

Ecosystems and Environment Research Centre, School of Environment and Life Sciences, University of Salford, Greater Manchester, United Kingdom.

Computational and Systems Biology, Rothamsted Research, Harpenden, Hertfordshire, United Kingdom.

出版信息

PLoS Comput Biol. 2017 Aug 28;13(8):e1005712. doi: 10.1371/journal.pcbi.1005712. eCollection 2017 Aug.

DOI:10.1371/journal.pcbi.1005712
PMID:28846676
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5591013/
Abstract

The spread of pathogens into new environments poses a considerable threat to human, animal, and plant health, and by extension, human and animal wellbeing, ecosystem function, and agricultural productivity, worldwide. Early detection through effective surveillance is a key strategy to reduce the risk of their establishment. Whilst it is well established that statistical and economic considerations are of vital importance when planning surveillance efforts, it is also important to consider epidemiological characteristics of the pathogen in question-including heterogeneities within the epidemiological system itself. One of the most pronounced realisations of this heterogeneity is seen in the case of vector-borne pathogens, which spread between 'hosts' and 'vectors'-with each group possessing distinct epidemiological characteristics. As a result, an important question when planning surveillance for emerging vector-borne pathogens is where to place sampling resources in order to detect the pathogen as early as possible. We answer this question by developing a statistical function which describes the probability distributions of the prevalences of infection at first detection in both hosts and vectors. We also show how this method can be adapted in order to maximise the probability of early detection of an emerging pathogen within imposed sample size and/or cost constraints, and demonstrate its application using two simple models of vector-borne citrus pathogens. Under the assumption of a linear cost function, we find that sampling costs are generally minimised when either hosts or vectors, but not both, are sampled.

摘要

病原体传播到新环境中,对全球人类、动物和植物的健康构成了相当大的威胁,进而影响人类和动物的福祉、生态系统功能以及农业生产力。通过有效的监测进行早期检测是降低病原体定殖风险的关键策略。虽然在规划监测工作时,统计和经济因素至关重要,但考虑所涉病原体的流行病学特征也很重要,包括流行病学系统本身的异质性。这种异质性最显著的体现之一见于媒介传播病原体的情况,它们在“宿主”和“媒介”之间传播,每组都具有不同的流行病学特征。因此,在规划对新出现的媒介传播病原体的监测时,一个重要问题是将采样资源置于何处,以便尽早检测到病原体。我们通过开发一个统计函数来回答这个问题,该函数描述了宿主和媒介首次检测时感染患病率的概率分布。我们还展示了如何调整此方法,以便在规定的样本量和/或成本限制内最大化早期检测到新出现病原体的概率,并使用两个简单的媒介传播柑橘病原体模型演示其应用。在线性成本函数的假设下,我们发现当仅对宿主或仅对媒介进行采样(而非两者都采样)时,采样成本通常会降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/5591013/9848645c823a/pcbi.1005712.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/5591013/a83b4bcc6d41/pcbi.1005712.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/5591013/9848645c823a/pcbi.1005712.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/5591013/a83b4bcc6d41/pcbi.1005712.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/5591013/9848645c823a/pcbi.1005712.g002.jpg

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